Individual
DR. TARA MARIE KRAISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
344 BUDFIELD ST, JOHNSTOWN, PA 15904-3214
(814) 262-0123
Mailing address
1674 KECKSBURG RD, MOUNT PLEASANT, PA 15666-3657
(724) 454-2714
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS040467
PA
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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